RU2017126601A - Способы и композиции для лечения злокачественных опухолей, ассоциированных с мутацией kras - Google Patents
Способы и композиции для лечения злокачественных опухолей, ассоциированных с мутацией kras Download PDFInfo
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- RU2017126601A RU2017126601A RU2017126601A RU2017126601A RU2017126601A RU 2017126601 A RU2017126601 A RU 2017126601A RU 2017126601 A RU2017126601 A RU 2017126601A RU 2017126601 A RU2017126601 A RU 2017126601A RU 2017126601 A RU2017126601 A RU 2017126601A
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- rnai molecules
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- 238000000034 method Methods 0.000 title claims 27
- 206010028980 Neoplasm Diseases 0.000 title claims 5
- 239000000203 mixture Substances 0.000 title claims 3
- 206010069755 K-ras gene mutation Diseases 0.000 title claims 2
- 230000003211 malignant effect Effects 0.000 title 1
- 108091030071 RNAI Proteins 0.000 claims 13
- 230000009368 gene silencing by RNA Effects 0.000 claims 13
- 201000011510 cancer Diseases 0.000 claims 9
- 210000004881 tumor cell Anatomy 0.000 claims 9
- 241000124008 Mammalia Species 0.000 claims 7
- 239000002773 nucleotide Substances 0.000 claims 7
- 125000003729 nucleotide group Chemical group 0.000 claims 7
- 239000008194 pharmaceutical composition Substances 0.000 claims 7
- 102100030708 GTPase KRas Human genes 0.000 claims 5
- 101000584612 Homo sapiens GTPase KRas Proteins 0.000 claims 5
- 230000035772 mutation Effects 0.000 claims 5
- 239000000546 pharmaceutical excipient Substances 0.000 claims 4
- 206010009944 Colon cancer Diseases 0.000 claims 3
- 101150105104 Kras gene Proteins 0.000 claims 3
- 208000010507 Adenocarcinoma of Lung Diseases 0.000 claims 2
- 208000001333 Colorectal Neoplasms Diseases 0.000 claims 2
- 206010039491 Sarcoma Diseases 0.000 claims 2
- 108020004459 Small interfering RNA Proteins 0.000 claims 2
- 230000000692 anti-sense effect Effects 0.000 claims 2
- 201000010983 breast ductal carcinoma Diseases 0.000 claims 2
- 201000010989 colorectal carcinoma Diseases 0.000 claims 2
- 150000002632 lipids Chemical class 0.000 claims 2
- 201000005249 lung adenocarcinoma Diseases 0.000 claims 2
- 208000004707 mucinous cystadenoma Diseases 0.000 claims 2
- 239000002105 nanoparticle Substances 0.000 claims 2
- 210000000277 pancreatic duct Anatomy 0.000 claims 2
- 208000024891 symptom Diseases 0.000 claims 2
- 108091032973 (ribonucleotides)n+m Proteins 0.000 claims 1
- 206010006187 Breast cancer Diseases 0.000 claims 1
- 208000026310 Breast neoplasm Diseases 0.000 claims 1
- 206010058467 Lung neoplasm malignant Diseases 0.000 claims 1
- 206010061902 Pancreatic neoplasm Diseases 0.000 claims 1
- 108091081021 Sense strand Proteins 0.000 claims 1
- 230000001594 aberrant effect Effects 0.000 claims 1
- 210000003484 anatomy Anatomy 0.000 claims 1
- 210000000481 breast Anatomy 0.000 claims 1
- 201000006230 breast fibrosarcoma Diseases 0.000 claims 1
- 210000004027 cell Anatomy 0.000 claims 1
- 210000001072 colon Anatomy 0.000 claims 1
- 208000029742 colonic neoplasm Diseases 0.000 claims 1
- 230000001934 delay Effects 0.000 claims 1
- 210000000232 gallbladder Anatomy 0.000 claims 1
- 238000001802 infusion Methods 0.000 claims 1
- 238000002347 injection Methods 0.000 claims 1
- 239000007924 injection Substances 0.000 claims 1
- 238000010255 intramuscular injection Methods 0.000 claims 1
- 239000007927 intramuscular injection Substances 0.000 claims 1
- 239000007928 intraperitoneal injection Substances 0.000 claims 1
- 238000010253 intravenous injection Methods 0.000 claims 1
- -1 lipid compounds Chemical class 0.000 claims 1
- 210000004185 liver Anatomy 0.000 claims 1
- 210000004072 lung Anatomy 0.000 claims 1
- 201000005202 lung cancer Diseases 0.000 claims 1
- 208000020816 lung neoplasm Diseases 0.000 claims 1
- 208000015486 malignant pancreatic neoplasm Diseases 0.000 claims 1
- 210000000496 pancreas Anatomy 0.000 claims 1
- 201000002528 pancreatic cancer Diseases 0.000 claims 1
- 208000008443 pancreatic carcinoma Diseases 0.000 claims 1
- 108090000623 proteins and genes Proteins 0.000 claims 1
- 102000004169 proteins and genes Human genes 0.000 claims 1
- 238000010254 subcutaneous injection Methods 0.000 claims 1
- 239000007929 subcutaneous injection Substances 0.000 claims 1
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Claims (33)
1. Фармацевтическая композиция для лечения или терапии опухоли, ассоциированной с мутацией в гене KRAS или со сверхэкспрессией гена KRAS дикого типа, причем композиция содержит молекулы РНКи и фармацевтически приемлемые вспомогательные вещества, где молекулы РНКи содержат нуклеотидную последовательность, соответствующую последовательности-мишени GST-π.
2. Фармацевтическая композиция по п.1, где молекулы РНКи содержат дуплексную область, содержащую нуклеотидную последовательность, соответствующую последовательности-мишени SEQ ID NO: 287.
3. Фармацевтическая композиция по п.1, где молекулы РНКи содержат антисмысловую цепь, содержащую нуклеотидную последовательность, соответствующую SEQ ID NO: 184, и смысловую цепь, содержащую нуклеотидную последовательность, соответствующую SEQ ID NO: 158.
4. Фармацевтическая композиция по п.1, где молекулы РНКи представляют собой киРНК или кшРНК.
5. Фармацевтическая композиция по п.1, где фармацевтически приемлемые вспомогательные вещества включают одно или более липидных соединений.
6. Фармацевтическая композиция по п.1, где фармацевтически приемлемые вспомогательные вещества включают липидные наночастицы.
7. Фармацевтическая композиция по п.1, где фармацевтически приемлемые вспомогательные вещества включают липидные наночастицы, которые инкапсулируют молекулы РНКи.
8. Способ предотвращения, лечения или ослабления одного или более симптомов злокачественной опухоли, ассоциированной с мутацией KRAS у млекопитающего, нуждающегося в этом, причем способ включает:
идентификацию опухолевой клетки у млекопитающего, причем опухолевая клетка содержит, по меньшей мере, одно из следующего: (i) мутацию гена KRAS и (ii) уровень аберрантной экспрессии белка KRAS; и
введение млекопитающему терапевтически эффективного количества композиции, содержащей одну или более молекул РНКи, которые активны в снижении экспрессии GST-π.
9. Способ по п.8, где млекопитающее представляет собой человека, а GST-π представляет собой человеческий GST-π.
10. Способ по п.8, где молекула РНКи представляет собой киРНК или кшРНК.
11. Способ по п.8, где молекулы РНКи содержат дуплексную область, содержащую нуклеотидную последовательность, соответствующую последовательности-мишени SEQ ID NO: 287.
12. Способ по п.8, где молекулы РНКи содержат антисмысловую цепь, содержащую нуклеотидную последовательность, соответствующую SEQ ID NO: 184, и смысловую цепь, содержащую нуклеотидную последовательность, соответствующую SEQ ID NO: 158.
13. Способ по п.8, где молекула РНКи уменьшает экспрессию GST-π у млекопитающего.
14. Способ по п.8, где введение уменьшает экспрессию GST-π у млекопитающего, по меньшей мере, на 5% в течение, по меньшей мере, 5 дней.
15. Способ по п.8, где введение уменьшает объем злокачественной опухоли у млекопитающего, по меньшей мере, на 5% или, по меньшей мере, на 10% или, по меньшей мере, на 20% или, по меньшей мере, на 30% или, по меньшей мере, на 40% или, по меньшей мере, на 50%.
16. Способ по п.8, где способ уменьшает один или более симптомов злокачественной опухоли или задерживает или прекращает прогрессирование злокачественной опухоли.
17. Способ по п.8, где введение уменьшает рост злокачественных опухолевых клеток у объекта.
18. Способ по п.8, где введение уменьшает рост, по меньшей мере, на 2% или, по меньшей мере, на 5% или, по меньшей мере, на 10% или, по меньшей мере, на 15% или, по меньшей мере, на 20% злокачественных опухолевых клеток у объекта.
19. Способ по п.8, где опухолевые клетки содержат повышенный уровень экспрессии белка KRAS дикого типа по сравнению с таковым в нормальной клетке.
20. Способ по п.8, где опухолевая клетка сверхэкспрессирует РНК или белок GST-π дикого типа.
21. Способ по п.8, где опухолевая клетка содержит мутации в белке KRAS в одном или более из остатков 12, 13 и 61.
22. Способ по п.8, где опухолевая клетка содержит мутации в белке KRAS, и опухоль представляет собой злокачественное новообразование, выбранное из рака легких, рака толстой кишки и рака поджелудочной железы.
23. Способ по п.8, где опухолевая клетка содержит мутации в белке KRAS, и опухоль представляет собой саркому, выбранную из группы, состоящей из аденокарциномы легкого, муцинозной аденомы, протоковой карциномы поджелудочной железы и колоректальной карциномы.
24. Способ по п.8, где злокачественная опухоль представляет собой саркому, выбранную из группы, состоящей из аденокарциномы легкого, муцинозной аденомы, протоковой карциномы поджелудочной железы, колоректальной карциномы, рака молочной железы и фибросаркомы.
25. Способ по п.8, где злокачественная опухоль локализована в анатомической области, выбранной из группы, состоящей из легкого, толстой кишки, поджелудочной железы, желчного пузыря, печени, молочной железы и любой их комбинации.
26. Способ по п.8, где введение осуществляют от 1 до 12 раз в день.
27. Способ по п.8, где введение осуществляют в течение 1, 2, 3, 4, 5, 6 или 7 дней.
28. Способ по п.8, где введение осуществляют в течение 1, 2, 3, 4, 5, 6, 8, 10 или 12 недель.
29. Способ по п.8, где введение представляет собой дозу от 0,01 до 2 мг/кг молекул РНКи, по меньшей мере, один раз в день в течение периода до двенадцати недель.
30. Способ по п.8, где введение обеспечивает среднее AUC (0-конец) от 1 до 1000 мкг*мин/мл и среднее значение Cmax от 0,1 до 50 мкг/мл для молекулы GST-π РНКи.
31. Способ по п.8, где введение представляет собой внутривенную инъекцию, внутрикожную инъекцию, подкожную инъекцию, внутримышечную инъекцию, внутрибрюшинную инъекцию, пероральное введение, местное введение, инфузию или ингаляцию.
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